Edinger, Lara Kristin
Edinger, Lara Kristin is an individual health care provider with primary practice located at 10921 Wilshire Blvd Ste 1109 , Los Angeles CA 90024-4005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Edinger, Lara Kristin can be contacted via phone (424) 273-4662.Contact Information
Primary practice address
10921 Wilshire Blvd Ste 1109
Los Angeles CA 90024-4005
Phone: (424) 273-4662
Fax: (310) 861-1358
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 20A14194 | California |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 20A14194 | California |
Profile Details
NPI number | 1053645887 |
---|---|
LBN Legal business name | Edinger, Lara Kristin |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2009 |
Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053645887 | NPPES |
California | MEDICAID | CB266766 |
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